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A4D - Invalid specialty for this service code

The service code billed is allotted to a specialty which differs from the specialty set for the claim.

Solution:

Change the specialty of the service code, to the comparable service code corresponding to the specialty set for the claim (i.e., Change A445A - medical oncology (44) consult to A135A – Internal Medicine (13) consult).

Change the specialty of the claim to the match specialty of the service code, provided you are registered with the Ministry to bill in that specialty.

Note: You must be registered with the MoH to bill under a specialty, on or before the date(s) of service billed. If you bill codes under a specialty for which you are not registered, the claim will be rejected.